比较讲座和智能手机应用程序的自我护理教育对地中海贫血患者自我效能的影响。
Comparing the effects of self- care education by lecture and smartphone application on self-efficacy of patients with thalassemia.
机构信息
Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran.
Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
出版信息
BMC Med Inform Decis Mak. 2023 Jan 30;23(1):21. doi: 10.1186/s12911-023-02097-4.
BACKGROUND
Patients with the thalassemia have a basic requirement for self-efficacy regarding their treatment procedure. The present study aimed to compare the effect of self-care education via a smartphone application and lectures on the self-efficacy of patients with thalassemia.
METHODS
In the present quasi-experimental study, 99 patients with thalassemia at Shahid Beheshti Hospital in Yasuj, Iran, in 2019 who were eligible to enter the study, were selected. The block randomization was done with the block sizes of 3, 6, and 9, and participants were randomly assigned to 3 groups: smartphone application (A), lecture intervention (B), and control (c). Smartphone application and lecture interventions were performed for intervention groups A and B, respectively, during 8 weeks. Scherer's self-efficacy measure was used to collect the data at baseline and eight weeks after the intervention. Data were analyzed by SPSS-version 25 software using Paired t-test, Wilcoxon and Kruskal-Wallis tests.
RESULTS
Ninety-nine patients with thalassemia with a mean (SD) age of 25 (6) and 58 females (58.59%) participated in the present study. The results indicated a significant difference in self-efficacy among 3 groups after intervention (P = 0.001). However, self-care education with smartphone application revealed a significant increase in the mean (SD) of self-efficacy of the patients with thalassemia 68.36(8.45) compared to the lecture method 62.55 (7.3) (P = 0.003) and control 62.09 (6.7) (P = 0.001). There were no significant differences among the self-efficacy scores of the patients in lecture intervention and control groups.
CONCLUSIONS
The results revealed that smartphone application was a suitable educational software to promote self-efficacy in patients with thalassemia. It is recommended to use smartphone application methods to improve the self-efficacy levels of patients with thalassemia.
背景
患有地中海贫血症的患者在其治疗过程中对自我效能有基本的要求。本研究旨在比较通过智能手机应用程序和讲座对地中海贫血症患者自我效能的影响。
方法
在本项准实验研究中，我们选取了 2019 年伊朗亚苏季沙希德贝赫什提医院的 99 名符合条件的地中海贫血症患者。我们采用区组随机化方法，块大小为 3、6 和 9，并将参与者随机分为 3 组：智能手机应用程序组（A）、讲座干预组（B）和对照组（C）。分别对干预组 A 和 B 进行智能手机应用程序和讲座干预，干预持续 8 周。在干预前和干预 8 周后使用 Scherer 自我效能量表收集数据。使用 SPSS 版本 25 软件采用配对 t 检验、Wilcoxon 和 Kruskal-Wallis 检验对数据进行分析。
结果
本研究共纳入 99 名平均年龄（SD）为 25（6）岁的地中海贫血症患者，其中 58 名女性（58.59%）。结果表明，干预后 3 组患者的自我效能存在显著差异（P=0.001）。然而，与讲座方法（62.55[7.3]）和对照组（62.09[6.7]）相比，智能手机应用程序的自我护理教育使地中海贫血症患者的自我效能平均值（SD）显著提高，为 68.36（8.45）（P=0.003）。讲座干预组和对照组患者的自我效能评分之间无显著差异。
结论
结果表明，智能手机应用程序是一种促进地中海贫血症患者自我效能的合适教育软件。建议使用智能手机应用程序方法来提高地中海贫血症患者的自我效能水平。
Zotero 插件